| NPI | 1962847079 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENT VANDERLOON Executive Director 989-772-1261 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: MI 4703085412) |
| Enumeration Date | 2013-05-02 |
| Last Update Date | 2013-05-02 |